Browsing by Author "Mustafa, Mybera"

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ALGORITHMS FOR MANAGEMENT OF POST-BURN CONTRACTURE IN UPPER EXTREMITY IN CHILDREN
(AAB College, 2025-07-17) Sopjani, Idriz; Mustafa, Mybera
The aim of this study is to describe the management and outcome of surgical treatment for post burn contractures in different parts of the upper extremities in children, and provide a final decision algorithm that can be a useful guide for the Resident regarding surgical approach to contracture management. This was a retrospective study conducted in the Clinic of Plastic and Reconstructive Surgery, Pristina-Kosovo, between 2014-2016. All cases continued check ups in the Gentiana-Grelor private clinic in Pristina until 2019. Followups were conducted for no less than 6 months with respect to the viability and healing of the repaired area. Patients of both genders, aged from 0 months to 18 years with post-burn contracture in upper extremity, were included in the study. For the sake of presentation, we divided them anatomically into four main areas: axilla, elbow, wrist and hand. We start with a reconstructive ladder using skin grafts (STSG, FTSG), and local flaps such as advancement flaps, Z-plasties, V-Y or Y-V advancement flap, abdonimal/groin pedicled flap, cross finger flap, radial forearm flap were used. Patients were called for follow-up lasting a minimum of one to up to three years. The study included 144 patients. Their age ranged from 9 months to 18 years, the mean age being 12 years. Ordering them by location, post-burn contracture percentage in upper extremity in children was 68% on the hands, 18% on the elbows, 8% on the axilla and 6% on the wrist. A classification and treatment algorithm aids in achieving significant improvements in both joint motions and aesthetic deformities.
Reforms and Challenges of Post-conflict Kosovo Health System
(AAB College, 2025-07-17) Mustafa, Mybera
Before its collapse, Kosovo’s healthcare system was an integrated part of the Former Yugoslav Republics System (known as relatively well advanced for its time). Standstill had begun in the last decade of the twentieth century as the result of political disintegration of the former state. The enthusiasm of the healthcare professionals and the people of Kosovo that at the end of the conflict healthcare services will consolidate did not prove just right. Although we can claim that reorganization of Kosovo healthcare was a serious push (especially in the first years after the conflict), the intensity of development begun to fall at the latter stages. Although the basic legislation for the operation of the Healthcare System today in Kosovo does exist, the largest cause for the reform stagnation is where the law is not implemented properly and measures are not set as to a meaningful system of accountability. Twelve years have passed by since the 1999 war-conflict and, although, Kosovo has made progress in many other spheres, it has not yet reached to consolidate a health system comparable to those of other European countries. Intending to get out of difficult situation, several healthcare strategic plans have been developed in the past decade in Kosovo, but attempts in this direction have not been particularly fruitful. This script describes the actual Healthcare complexity of a situation in Kosovo 12 years after the end of the 1999 war-conflict. Interconnection and historical background is also looked upon and is described in the flow of events. Finally, the description of transfer competencies from international administrators to the local authorities as well as the flow of strategic planning that took place since 1999 has also been analyzed.
Why There is No Health Insurance in the Republic of Kosovo?
(AAB College, 2025-07-17) Mustafa, Mybera
Although the legal basis for an adjustment and legal definition can be found in the Constitution of Kosovo, namely in Section 51.2, since 1990, Kosovo could not guarantee a provision of Healthcare Insurance (HI) for its citizen. While it is the recent statistics that have been showing a high degree of unemployment and poverty, the importance of functionalizing of a Health Insurance Fund (HIF) has been considered as a very important issue, particularly in regard to a most vulnerable layer of the local population Along the previous 10 years, since the first Law on Healthcare Insurance has been initially drafted in 2004, attempts were made by the Ministry of Health (MH) to establish different working groups for the purpose of defining the legislation, which should lead to its adoption and creating the legal basis for the establishment of the Health Insurance Fund. Despite the efforts, to date, these attempts have proved unsuccessful due to the lack of the serious approach to the issue by the changing government. Furthermore, in consultation with International Monetary Fund, a study worth mentioning is also the one which has been developed by the World Bank in 2008 (for the purpose of studying fusibility regarding the macroeconomic involvement), which also brought important recommendations for the Government of Kosovo. In the section where the results are presented, different views from the Government of Kosovo, Ministry of Health and World Bank are portrayed in the manner of creation, financing and fund management. Further discussions should aim to define the causes and key problems behind the question: “Why there is no Health Insurance in Kosovo?”.